CMS Issues Alert for PQRI Claims Submitted Through Clearinghouses

July 18, 2007

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The Centers for Medicare and Medicaid Services (CMS) has indicated that there have been some instances of the National Provider Identifier (NPI) being stripped from claims submitted through some clearinghouses.

CMS is urging eligible physicians submitting claims through a clearinghouse to check with their clearinghouse to ensure the NPI is not being stripped from their claims. If it is determined that the NPI is being stripped from the claim forms, the physician may want to consider other billing options.

A recent Special Edition MLN Matters article contains important information for Medicare providers and suppliers, including how to use the NPI correctly on Part A and Part B claims. You can view the article here on the CMS website.